Crown or implant - which is better, and what to give preference to? Which crown is better for a chewing tooth - types and recommendations of doctors

Stump tab or crown - which is better and why?

The question of which method of restoration is better to restore a destroyed tooth, inlay, crown or traditional, worries many patients. However, the final choice in favor of any method can only be made after a preliminary assessment of the condition of the problematic tooth, its antagonists, tissues surrounding the tooth, etc., that is, the general conditions for. Without this reasoning about the benefits of inlays or crowns is like arguing about what tastes better: honey or black caviar. Indications for installation inlays and crowns are different, therefore, it is incorrect to compare them ─ it is better to simply familiarize yourself with the features and scope of these methods in more detail.

When will a ceramic inlay help?

A tooth that has been destroyed due to trauma or caries complications can be removed and replaced with an implant-supported prosthesis. But if the tooth tissues are partially preserved, the best solution to the problem tooth restoration─ this ceramic inlay.

The advantages of such an inlay over a filling are indisputable: the inlay is much stronger, more durable, and more resistant to external influences. To avoid depulpation of a healthy tooth usually allows only inlay, crown however, it requires deep preparation, after which the tooth becomes “dead”. However, if the tooth requires endodontic treatment, or has already undergone, it may be appropriate to prosthetics with an artificial crown, under which a tooth is pre-installed in the root of the tooth. stump tab on a pin base.

Restoration of a tooth with a ceramic inlay

When is a crown needed?

A tooth with very thinned walls is unlikely to save such a type of restoration as a ceramic inlay, a crown in this case is much more effective method strengthening the crown part of the tooth, while the chewing functions of the tooth are preserved in full. A crown will provide a particularly strong and durable restoration if the tooth under it is not just sealed, but strengthened with the help of such a structure as a stump tab. To restore multi-rooted teeth, the inlay design can be collapsible.

What is a stump tab and why is it needed

An artificially shaped stump, or crown tab, is not independent, but an auxiliary basis for prosthetics. in restoration structures. stump pin tab plays the same role as a simple pin, but its reinforcing properties are much higher. If the doctor considers that a crown should be installed stump tab, manufacturing it can take more time than a simple filling on pins and then closing the tooth with a crown. but crown and inlay stump form a truly reliable restoration structure, while the risk of destruction under the crown of a tooth with a massive filling is invariably high.

Stump post inlays Teeth before restoration with post inlays

Fixation of core inlays Final restoration of inlay + crown

Depending on the possible conditions of prosthetics, the post-stump tab can be made of various materials. Titanium and zirconium, which have good biocompatibility with teeth, are not always a justified choice for making inlays: in the event of a breakage, a stump inlay made of titanium or zirconium oxide is removed from the canal with considerable difficulty. For the restoration of chewing teeth, a cast gold stump insert is considered the best option in terms of quality, but many patients are stopped by its high cost.

More acceptable for most patients in need of prosthetics is a cobalt-chromium stump tab, the cost of which is much lower than gold. In addition, the cobalt-chromium alloy is also successfully used for the manufacture of frameworks for metal-ceramic crowns, which makes it possible to avoid metal antagonism in the oral cavity. As for the restorations of the anterior zone, the use of metal inlays here is undesirable from the point of view of aesthetics. More appropriate for the prosthetics of the front tooth is a pin ceramic inlay (ceramic stump inlay). With increased requirements for aesthetics, a ceramic-metal stump inlay is also used, the price of which is slightly lower than that of an inlay made of all-ceramic.

Which crown is better? This question arises in all patients who are faced with the need for prosthetics. How to do right choice, which prostheses are the most durable and how not to miscalculate with the price-quality ratio?

For chewing teeth, cermet is preferable.

In the oral cavity, the process of digestion begins, in which the teeth, tongue, and saliva take part. The main task of the chewing group is to thoroughly grind, chew food, prepare it for the next stage of digestion.

If even one chewing unit is damaged, the quality of food grinding deteriorates. If most of the teeth are damaged, this negatively affects the whole body, as a person loses the ability to chew food with high quality. This inevitably leads to problems with the gastrointestinal tract.

Therefore, the main condition for successful prosthetics is to restore the lost functionality of the jaw. How to choose a material for a crown on a chewing tooth? In this case, the specialist takes into account a number of factors:

• with a limited budget, the best option would be, which can withstand high chewing loads,
• if the tooth has thin brittle walls, it is advisable to install metal ceramics. Then the entire load will fall on the metal frame,
• if you need to save a damaged tooth from further destruction, it is best to use it, which will not adversely affect hard and soft tissues.

For prosthetics of the chewing row, you can use single crowns and. There are several types of crowns and bridges depending on the material:

Summarize: Since the task of the chewing teeth is to chew food, the crown must withstand high loads. For these purposes, cermet is ideal, which, in addition, has a good appearance. If the patient's budget allows, a ceramic structure can be installed.

Which crown is best for the smile zone?

For front teeth, it is better to choose ceramic crowns.

If the front tooth is damaged, it is impossible to pull with prosthetics, as the smile zone suffers. The main condition for prosthetics is a strong healthy root. In this case, recovery occurs according to one of two scenarios:

1. The root canals are cleaned, sealed, a pin is installed in them, which serves as the basis for the prosthesis.
2. For the base, it is used, which is made according to an individual cast.

If the tooth is lost along with the root, an implant is implanted in its place, on which, after engraftment, a crown is fixed. You won’t be able to save money on the smile zone, since they are visible during a conversation and a smile. For prosthetics of the frontal region, two types of crowns are used:

1. Metal-ceramic- Affordable and good looking. These are strong and durable products that fully restore the functionality of the jaw. But cermet has some nuances that you need to know about:

1. Metal-free ceramics– modern, aesthetic, durable products that are very difficult to distinguish from real teeth. This is an ideal option for prosthetics of the front teeth, provided that the patient is willing to spend a considerable amount.

And yet, what is the best crown? We offer you two lists from which you can draw conclusions for yourself and make a choice.

TOP -4 best

• The most aesthetic is a crown made of metal-free ceramics (zirconium dioxide). Not every dentist can distinguish a high-quality zirconium crown from a real tooth.
• The most biocompatible with the body is a product with a frame made of gold + platinum alloy. These metals do not cause allergies and complications.
• The most durable is a product made of zirconium oxide, since with proper care it can serve its owner up to 20 years. Metal structures can last about the same, but the aesthetics in this case leaves much to be desired.
• The most expensive is metal-free ceramics, the high cost of which is justified by quality and durability.

TOP 4 worst

• The most unaesthetic is a metal crown. Some patients, in order to save money, continue to put on chewing teeth.
• The most short-lived is the plastic construction, which is not intended for long-term use.
• The most unsafe for health is metal, cermet with nickel content, which often causes allergies.
• The cheapest are metal products.

Going to the dentist and getting your teeth treated is an integral part of a person's life. Many are faced with such a problem as.

This is an extremely uncomfortable situation, since the load from chewing food is not properly distributed to the remaining teeth, resulting in unbearable pain.

Also, due to an incomplete dentition, there may be. And of course, the absence of teeth is a completely unaesthetic picture.

The dentition can be restored in several ways:

Implant installation: features, cons and pros

The most commonly used procedure is . The essence of the procedure is that an implant is introduced into the jaw bone tissue, which becomes a replacement for the missing tooth.

The implant is made of titanium, which is fully compatible with the human body. It is characterized by high strength and resistance to heavy loads.

The advantage of the implant is that during its installation there is no need to grind or modify adjacent teeth. Titanium tooth can be installed anywhere in the dentition. Even the function of an edentulous jaw can be restored thanks to the implantation procedure.

The use of this method will allow not only not to touch the bone tissue, but also to remove the excessive load from the adjacent teeth that occurs during the meal. is considered not painful and absolutely safe for the client.

The disadvantages include the fact that part of the implant - the crown is not durable. And even with careful care, it will have to be replaced.

Also, patients with blood diseases, of cardio-vascular system and connective tissue, with liver failure and thyroid pathologies responsible for calcium metabolism in the body, oncological processes, mental disorders, allergic reactions to painkillers, antibiotics and antiseptics, this procedure is prohibited.

Maintain healthy teeth and gums. Use not only toothpaste, but also floss. Cleanse 2 times a day. Try to visit your dentist regularly for checkups and dental cleanings.

To protect yourself from damage to already installed crowns, implants or dental bridges, try not to get carried away with solid foods.

The question remains open - what to choose for you?

It is difficult to answer the question of what is better crown, bridge or implant, it all depends on the specific situation. Some factors should be taken into account when choosing the right procedure for dental implantation:

The conclusion is simple in theory, difficult in practice ...

Depending on the complexity and problems, material possibilities and aesthetic preferences, the patient can decide on the method of prosthetics, choosing between a bridge and a crown.

An alternative solution to the problem may be the introduction of two extreme implants, with the installation of a bridge prosthesis supported by implants after. This solution will save money, but will be no less reliable.

With the help of implants, it is recommended to restore teeth if the teeth that are extreme from the defect are alive. Due to the fact that turning and supporting teeth will reduce their life span.

If they succumbed to severe destruction and have defects, or, then in such a situation, a bridge prosthesis is best suited.